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General NPI Number Information
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NPI Number | 1801777974
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Entity Type | Organization
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Legal Business Name | 27TH STREET DENTAL, PLLC
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 3374 S 27TH ST
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City | ABILENE
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State | TX
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Zip | 79605-6224
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Country | US
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Telephone | 325-698-7560
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Fax |
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Provider Business Mailing Address
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Address Line | 3374 S 27TH ST
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City | ABILENE
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State | TX
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Zip | 79605-6224
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMY CRITZ
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Credential | DDS
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Telephone | 325-660-2862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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